Walnut Ridge

In the surveyor’s words

From the most serious findings on record at Walnut Ridge, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF812Jul 9, 2025

  Based on observations, staff interview, and policy review, the facility failed to ensure appropriate kitchen sanitation practices were followed (hand hygiene, cleanliness, and equipment sanitizing). The facility reported a census of 32. Findings include: 1. During the initial Care Center kitchen observation on 7/7/25 at 10:15 AM, the floor drain located near the beverage table was noted with a black, sludge-like build up all around. The floor underneath the beverage table, especially where the floor meets the wall, a moderate amount of debris and small trash items were noted. This included whole food items and chemical spray bottle. 2. During the initial Care Center kitchen observation on 7/7/25, the dish machine was not currently in use but had been used earlier. […]

• No harm, potential for more than minimal, patternF812Aug 8, 2024

  Based on observations, staff interviews, the 2022 Food and Drug Administration (FDA) Food Code, and facility policy review, the facility failed to maintain sanitary practices by improperly storing food and failed to follow guidelines for checking the sanitizer parts per million (ppm) for 2 of 2 meals observed. The facility reported a census of 35 residents. Findings include: 1. On 8/5/24 at 10:36 AM, Dietary Manager (DM), during initial walk through, the following was observed: In the Refrigerator #4, the following items did not have open date label: Prune juice, gallon of skim milk, gallon of 2% milk. A clear container with red lid had light red creamy liquid contents did not have a label for identification or date. The following items were not fully covered, cottage cheese and coleslaw. […]

• No harm, potential for more than minimal, patternF880Jan 18, 2024

  Based on observation, document review, and staff interviews, the facility failed to provide appropriate infection prevention practices for disinfecting the reusable medical equipment. The facility reported a census of 32 residents. Findings include: During an interview with Staff C, Certified Nursing Assistant (CNA) on 1/17/24 at 9:00 AM, it was reported the facility sanitized transfer lifts that are used between residents with Clorox wipes at the end of each day, including if a resident was on Transmission-Based Precautions (TBP). During an interview with Staff A, Registered Nurse (RN) on 1/17/24 at 10:00 AM, showed where the disinfecting wipes are stored in the facility and pointed at the shelf with boxes of Clorox wipes. […]

• No harm, potential for more than minimal, isolatedF656Jul 9, 2025

  Resident #25Bladder and Bowel Incontinence Based on clinical record review, observations, staff interview and facility policy review, the facility failed to reposition/toilet a resident per her Care Plan for one of twelve residents reviewed. The facility reported a census of 32 residents. Findings include:The Quarterly Minimum Data Set (MDS) of Resident #25 dated 5/8/25 recorded a Brief Interview for Mental Status (BIMS) score of 3 which indicated severe cognitive impairment. The MDS documented the resident was dependent on staff for toilet transfer and toilet hygiene. The MDS coded the resident to require substantial/maximal assistance for bed mobility. The MDS coded the resident to be frequently incontinent of both bowel and bladder. […]

• No harm, potential for more than minimal, isolatedF760Jul 9, 2025

  Based on clinical record review, observation, staff interview and review of the facility Medication Administration Procedure, the facility failed to prime an insulin flexpen prior to administering the insulin dose to ensure the proper amount of insulin administered for one of one residents observed who received insulin during medication pass (Resident #88). The facility reported a census of 32 residents. Findings include: The Electronic Health Record (EHR) Medical Diagnosis list revealed Resident #88 had a diagnoses of Type 2 Diabetes Mellitus. The Order Summary for Resident #88 dated 7/8/25 included a physician's order for Glargine (insulin) 4 units subcutaneously (SQ) every morning for diabetes started on 7/8/25. […]